Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
Asthma, Asthma-COPD ... Overlap and COPD ... initially requires an evaluation ... identification of the type ... #Differences #Algorithm
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
Pharmacologic treatment algorithms ... limitation, further evaluation ... muscarinic antagonist; LABA ... Management #Pulmonary #COPD ... #LABA #ICS #Guidelines
Medical Treatment Algorithm for Chronic Obstructive Pulmonary Disease
Initial medical treatment of chronic obstructive pulmonary disease (COPD)
Medical Treatment Algorithm ... pulmonary disease (COPD ... squared; CAT, COPD ... #COPD #Treatment ... #Pulmonary #LABA
Long-Acting Dual Bronchodilators - LAMA/LABA Combo Inhalers 

The FDA approved a new dual bronchodilator (LABA/LAMA) combination
/LABA Combo Inhalers ... Tudorza which is a type ... for treatment of COPD ... recommended regimens for COPD ... #LABA #Combo #Inhalers
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
Reduce risk of COPD ... Initiate if severe COPD ... Dosing: 250 mcg tablet ... the treatment of COPD ... #Pharmacology #COPD
Chronic Obstructive Pulmonary Disease (COPD)
 β€’ COPD Definition
 β€’ Role of PFTs
 β€’ COPD Classification and
Pulmonary Disease (COPD ... ) β€’ COPD Definition ... Role of PFTs β€’ COPD ... Classification ... and Evaluation (
LABA/ICS Combination Inhalers
Long-Acting Beta2 Agonists (LABA) + Inhaled Corticosteroid (ICS) - Commonly used in Asthma 
Advair
LABA/ICS Combination ... the traditional type ... of a patients COPD ... posts for the COPD ... treatment algorithm
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... β€’ Most common type ... water #Shock #Classification ... #Types #diagnosis ... warm #wet #dry #table
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
(Hx of COPD, OSA ... Unremarkable Labs ... metabolic #alkalosis #algorithm
Assessment of a Patient Presenting to the ED after a Medical Abortion:
 β€’ History, including if/when
Ultrasound β€’ Labs ... CBC and blood type ... Medical #Abortion #algorithm ... #workup #evaluation